Notice of Privacy Practices
|Download as an Adobe PDFEffective April 14, 2003
Reviewed January 10, 2010
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
A federal regulation, known as the “HIPAA Privacy Rule” requires that we provide detailed notice in writing of our privacy practices.
This Notice describes the privacy practices of Orthopedic Associates, LLC. This notice also describes the privacy practices of affiliated providers while they are performing services in an Orthopedic Associates office, unless they provide you with a notice of their specific privacy practices. Affiliated providers are not employed by Orthopedic Associates but are either authorized to provide services to patients in an Orthopedic Associates office or have a contractual relationship with Orthopedic Associates. For more information about the specific privacy practices of our affiliate providers, please contact them directly.
How we use your Health Information:
Treatment: We keep records of the care provided to you. Health care providers use this information to deliver quality care to meet your needs. For example, your doctor may share your health information with another doctor who is assisting in your care.
Payment: We keep billing records that include payment information and documentation of the service provided to you. Your information may be used to obtain payment from your insurance company, you, or a third party. We may also contact your insurance company to verify your coverage or to get approval for upcoming services. For example, your health plan may request and receive information on dates of service, services provided, and the medical condition being treated before releasing payment to us.
Health Care Operations:
Other services We Provide:
Sharing Your Health Information:
All other uses and disclosures not described in this notice require your signed authorization. You may revoke your authorization at any time with a written statement.
Our Privacy Responsibilities:
We reserve the right to make changes to this notice at any time and make new privacy practices effective for all information we maintain. These Changes may be required by changes in federal and state laws and regulation. Current notices will be available at all Orthopedic Associates, LLC locations.
Your Individual Rights
Requests marked with a (*) must be made in writing. Forms are available at Orthopedic Associates, LLC.
Orthopedic Associates will investigate all concerns and report within a reasonable time frame. We will not intimidate, threaten, coerce, discriminate against or take other retaliatory action against any individual for filing a complaint against Orthopedic Associates.